2008年非手术恶性肿瘤患者营养支持治疗指南的解读_潘宏铭.pdfVIP

·844 · 　2009 9 14 9　ChineseClinicalOncology, Sep.2009, Vo.l14, No.9　 · · 2008 310016　杭州　浙江大学医学部附属邵逸夫医院肿瘤内科　潘宏铭, 陈　薇 　　【　】　, , 。 , , 。 、、、 2008 , 。 　　【】　;　;　 :R730.51　　:A　　:1009-0460(2009 )09-0844-0 8 Interpretationofguidelinesonparenteralandenteralnutrition:Nonsurgicaloncology 　　PANHongmin, CHENWe.iDepartmentofMedicalOncology, SirRunRunShawHospita,lMedicalSchoolof ZhejiangUniversity, Hangzhou310016, China 　　【Abstract】　Undernutritionandweightlossoccurfrequentlyincancerpatient,sindicatingpoorprognosisandexcessmorbidi ty.Howeve,rtheadministrationofnutritiontreamtentforcancerpatientsreceivingchemotherapy/radiotherapyorwithcachexiaarestill underdebate.Her,eweinterpretedguidelinesonparenteralandenteralnutritionfornonsurgicalcancerpatientsfromEuropeanSociety forParenteralandEnteralNutrition(ESPEN), AmericanSocietyforParenteralandEnteralNutrition(ASPEN)andChineseSocietyof ParenteralandEnteralNutrition(CSPEN).Wewereintendedtoprovideevidencebasedrecommendationsfortheuseofparenteralnu trition(PN)inmalignanttumorpatientsinChinafromthefollowingfivesecession:srelationshipofmalignanciesandundernutrition statu,sthescreeningofnutrientriskinmalignanttumorpatient,stheclinicalpathwayofnutrientassessmentinmalignanttumorpa tient,sPNadministrationandtherisksofPN. 　　【KeyWords】　Tumors;　Nutritiontreamten;t　Guideline 　　 。 ,, 70 , 。 [1] [5, 6] , 。 。 [2] 1968, Dudrick , (parenteralnutrition, PN) 1 。, ,。 “” , (ESPENGuidelinesonParenteralNutrition:Nonsur gicaloncology), 。, 30 (ASPENguidelines) ,、